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儿童骨筋膜室综合征的治疗

Treatment of compartment syndrome in children.

作者信息

Willis R B, Rorabeck C H

机构信息

Division of Orthopaedic Surgery, University of Western Ontario, London, Canada.

出版信息

Orthop Clin North Am. 1990 Apr;21(2):401-12.

PMID:2183136
Abstract

A compartment syndrome is a symptom complex caused by elevated tissue pressure in a closed osseofascial compartment of a limb. Left unrecognized, it results in permanent damage to muscle and nerve in that compartment. The diagnosis of a compartment syndrome is contingent on the recognition of pain out of proportion with the injury as the most important early symptom. The pain is increased with passive stretching of the muscles in the involved compartment or on palpation of the involved muscles. Once the diagnosis is suspected, prompt treatment by appropriate fasciotomy should result in maintenance of normal limb function.

摘要

骨筋膜室综合征是一种由肢体封闭的骨筋膜室内组织压力升高引起的症状复合体。如果未被识别,它会导致该骨筋膜室内的肌肉和神经永久性损伤。骨筋膜室综合征的诊断取决于将与损伤程度不相称的疼痛识别为最重要的早期症状。在受累骨筋膜室内被动拉伸肌肉或触诊受累肌肉时,疼痛会加剧。一旦怀疑诊断,通过适当的筋膜切开术进行及时治疗应能维持肢体正常功能。

相似文献

1
Treatment of compartment syndrome in children.儿童骨筋膜室综合征的治疗
Orthop Clin North Am. 1990 Apr;21(2):401-12.
2
[The compartment syndrome with special reference to the anterior tibial site].[骨筋膜室综合征,特别提及胫前部位]
Z Arztl Fortbild (Jena). 1982 Aug 15;76(16):728-31.
3
Results of fasciotomy in patients with medial tibial syndrome or chronic anterior-compartment syndrome.胫骨内侧综合征或慢性骨筋膜室综合征患者的筋膜切开术结果。
J Bone Joint Surg Am. 1983 Dec;65(9):1252-5.
4
Chronic anterior-compartment syndrome of the leg. Results of treatment by fasciotomy.小腿慢性前间隔综合征。筋膜切开术的治疗结果。
J Bone Joint Surg Am. 1986 Dec;68(9):1338-47.
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[Acute compartment syndrome. Results of a clinico-experimental study of pressure and time limits for emergency fasciotomy].[急性骨筋膜室综合征。急诊筋膜切开术压力和时间限制的临床实验研究结果]
Unfallchirurg. 2001 May;104(5):381-91. doi: 10.1007/s001130050747.
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Acute compartment syndrome of the leg: pressure measurement and fasciotomy.腿部急性间隔综合征:压力测量和筋膜切开术。
Orthop Traumatol Surg Res. 2010 Dec;96(8):913-7. doi: 10.1016/j.otsr.2010.08.001. Epub 2010 Oct 8.
7
[Post-traumatic anterior and posterior compartment syndrome in clinically "uninjured" lower legs].[临床“未受伤”小腿的创伤后前后间隔综合征]
Z Unfallchir Versicherungsmed Berufskr. 1984;77(4):241-4.
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Forearm Compartment Syndrome: Evaluation and Management.前臂骨筋膜室综合征:评估与处理
Hand Clin. 2018 Feb;34(1):53-60. doi: 10.1016/j.hcl.2017.09.006.
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Isolated medial compartment syndrome of the foot: a case report.足部孤立性内侧间隔综合征:一例报告。
Foot Ankle Int. 1996 Mar;17(3):183-5. doi: 10.1177/107110079601700313.
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[Acute compartment syndrome of the lower extremity].[下肢急性骨筋膜室综合征]
Helv Chir Acta. 1984 Mar;50(6):697-713.

引用本文的文献

1
Case Report: Atypical acute compartment syndrome of the forearm in a child following minor trauma with consecutive osteomyelitis.病例报告:一名儿童在轻微创伤后发生前臂非典型急性骨筋膜室综合征,并继发骨髓炎。
Front Surg. 2024 May 15;11:1370558. doi: 10.3389/fsurg.2024.1370558. eCollection 2024.
2
Osteofascial compartment pressure measurement in closed limb injuries - Whitesides' technique revisited.闭合性肢体损伤中骨筋膜室压力测量——重温怀特赛兹技术
J Clin Orthop Trauma. 2016 Oct-Dec;7(4):225-228. doi: 10.1016/j.jcot.2016.01.001. Epub 2016 Feb 10.
3
The diagnosis of acute compartment syndrome: a review.
急性骨筋膜室综合征的诊断:综述
Eur J Trauma Emerg Surg. 2014 Oct;40(5):521-8. doi: 10.1007/s00068-014-0414-7. Epub 2014 Jun 3.
4
The effect of focused instruction on orthopaedic surgery residents' ability to objectively measure intracompartmental pressures in a compartment syndrome model.针对性教学对骨科住院医师在骨筋膜室综合征模型中客观测量骨筋膜室内压力能力的影响。
J Bone Joint Surg Am. 2014 Oct 1;96(19):e171. doi: 10.2106/JBJS.M.00582.
5
Anterior compartment pressure measurement in closed fractures of leg.小腿闭合性骨折时的前侧骨筋膜室压力测量
Indian J Orthop. 2008 Apr;42(2):217-21. doi: 10.4103/0019-5413.40261.